Melissa Poon
Optometrist in New York, NY. Individual provider (NPI-1).
NPI number1043872575
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1043872575
- Entity type
- Individual (NPI-1)
- Name
- Melissa Poon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 009012 | NY | Yes |
Practice location
2050 BroadwayNew York, NY 10023-3703
Phone 212-874-0346
Mailing address
2050 BroadwayNew York, NY 10023-3703
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